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Dr. Sascha Ealia Zandevakili, DDS
Oral and Maxillofacial Surgery (Dentist) in San Diego, California
NPI 1881049179

Sascha Ealia Zandevakili is a Oral and Maxillofacial Surgery (Dentist) based in Atlanta, CA and is specialized in Oral and Maxillofacial Surgery. Sascha Ealia Zandevakili practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Sascha Ealia Zandevakili is 1881049179 and holds a License No. (California).

The current practice location address for Sascha Ealia Zandevakili is 4125 Sorrento Valley Blvd Ste D, San Diego, CA and can be reached out via phone at 858-997-2701.

Location: 4125 Sorrento Valley Blvd Ste D, San Diego, CA, 30322-1013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881049179
Provider Name
Sascha Ealia Zandevakili
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4125 Sorrento Valley Blvd Ste D, San Diego, CA, 30322-1013
Phone Number
858-997-2701
Fax Number
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4125 Sorrento Valley Blvd Ste D
City
San Diego
State
California
Zip
92121-1423
Phone Number
858-997-2701
Fax Number
person
Provider Business Mailing Address Details
Address
4125 Sorrento Valley Blvd Ste D
City
San Diego
State
California
Zip
92121-1423
Phone Number
858-997-2701
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
102544 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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